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A Gonzalez18origin
A Gonzalez18origin
1
Institute of Immunology. University of Münster, 48149 Münster, Germany
2
Instituto Investigaciones Biomédicas “Alberto Sols”, IIBM Madrid, Spain
Centro Mixto Consejo Superior de Investigaciones Cientificas y Universidad Autonoma de
Madrid (IIBM CSIC-UAM).
3
Unidad De Biomedicina (Unidad Asociada al CSIC), IIBM- Universidad Las Palmas de Gran
Canaria, ULPGC. Grupo de Investigación en medio ambiente y Salud (GIMAS), Instituto
Universitario de Investigaciones Biomedicas y Sanitarias (IUIBS, ULPGC).
Red pulp macrophages most known function is the clearance of effete red blood cells that are
trapped within the red pulp sinusoids and stromal network. These cells reside exclusively in
the red pulp and are identified as F4/80+VCAM1+CD11blo by flow cytometry. The molecular
mechanisms by which senescent erythrocytes are recognized by RPMs are not completely
understood. They are, nonetheless, equipped with the adequate machinery to process and
metabolize heme and Iron after senescent erythrocyte clearance. High levels of expression of
the scavenger receptor CD163, Spi-C, VCAM1, Heme Oxigenase (HO-1) and ferroportin, by
RPMs ensure their regulation of iron metabolism [36].
The metabolic function of RPMs is clearly influenced by the environment and linked to the
transcriptional regulation of their developmental pathways. RPMs develop in mice during
embryonic and fetal stages, with very few, if any contribution of monocytes. However, after
macrophage depletion, bone marrow monocytes are able to repopulate the red pulp with
F4/80+VCAM1+ macrophages [37]. RPMs were shown to derive partially from yolk sac
macrophages [38], with the contribution of fetal definitive hematopoiesis [39]. However, the
precise fetal progenitor from which RPM derive is not completely determined.
Heme regulates the expression of Spi-C, a transcription factor responsible for the
development of RPMs. Spi-C, subsequently regulates the expression of VCAM1, influencing
as well in iron metabolism. However, the expression of HO-1 and ferroportin seem to be
directly influenced by Heme and independent of Spi-C [40]. Ultimately, the crosstalk between
erythrophagocytosis, iron recycling and RPM transcriptional activation is needed to the
maintenance of these populations in the adult spleen. Numerous evidences point to the
existence of a different mechanism of damaged erythrocyte elimination, through a process
called eryptosis that involves exposure of phosphatidylserine in the outer membrane and
shrinking of the cell, in an analogous fashion that nucleated cells suffer apoptosis [41]. These
eryptotic erythrocytes are, however, believed to be recognized and eliminated by different
subsets of phagocytes in the spleen [42].
RPMs have also been shown to perform immunological functions, in response to
inflammatory stimuli and parasite infections. Using Spic-/-, Kim and colleagues showed that
RPMs produce high amounts of type I interferons, playing a key role in the defense against
Plasmodium chabaudi [43]. In vitro studies using isolated RPM in co-cultures with CD4+ T
cells have revealed an implication of RPMs in the process of differentiation or T cells towards
regulatory T cells [44].
The white pulp has for many years been considered as the immunological compartment of the
spleen. Now we know that the red pulp also perform some immunological functions and the
marginal zone is as well a dynamic area where specific immune responses take place. Within
the germinal centers, F480negCD68+ macrophages containing phagocytosed apoptotic cells
are frequently found. Condensed chromatin fragments are visible inside these macrophages
displaying a dark blue staining pattern when using hematoxylin and eosin. Consequently,
these macrophages were originally called tingible body macrophages (tingible meaning
stainable). TBMs are analogous to macrophages found in the germinal centers of lymph nodes
and PPs, as well as in the thymus of adult mice, during its physiological involution. In the
spleen, their main function is the phagocytosis of apoptotic B cells generated in the germinal
centers during antigenic responses, where hyper proliferation and somatic hypermutation of
these cells take place [45]. In addition, germinal centers are also the sites of B cell self-
renewal and clonal selection, crucial to maintain tissue homeostasis. During the high affinity
maturation of the clonal selection process, autoreactive B cells are also eliminated by
apoptosis and cleared by TBMs. Hence, the highly phagocytic macrophages in the white pulp
play a dual role as homeostatic regulators and actively participating of the immune responses
against antigens.
Certainly, the white pulp environment shapes the phagocytic aspect of these macrophages.
Several soluble molecules required by the macrophage to engage the apoptotic cell during its
recognition phase are highly expressed in the splenic white pulp, such as Mfge8, Gas6, or
C1q. TBMs as well express high levels of phagocytic receptors as compared with the other
macrophage populations in the spleen, for example, CD68, Mertk, Timd4 or CD36 [17]. All
these molecules have been previously shown to play decisive roles in the phagocytosis of
apoptotic cells, however, whether their elevated expression in this macrophage subset is
influenced by specific white pulp derived signals is still unclear. Nonetheless, we have
previously shown that the constant feeding of macrophages with apoptotic cells promote the
expression of Mertk, Gas6 and CD36 [46]. Hence, one possible scenario is that the constant
phagocytosis of B cells in the germinal centers provides the signals to shape the phenotype
and function of TBMs, contributing to maintain peripheral B tolerance and regulating the
germinal center reaction, ultimately, ensuring the correct defense against antigen-driven
inflammatory processes.
The marginal zone of the murine spleen is a dynamic structure located between the red and
white pulps where the blood is shed before percolating to the red pulp. Its specific location
and cell composition create an adequate environment for the recognition and clearance of
blood borne antigens. In addition, it is the starting point in the generation of the immune
response against T cell independent antigens. The marginal zone contains a special stromal
endothelial cell, called the marginal sinus lining cell that expresses MadCAM1. In contrast to
MadCAM1+ endothelial cells in the lymph nodes, splenic marginal sinus lining cells do not
form blood or lymphatic vessels, but they line up forming an outer ring around the white
pulps. Closely associated to these endothelial cells, concentrate the CD169+ MMMs and
outer, several layers of MZMs coexist with specialized B cells and dendritic cells, supported
by a network of stromal conduits. Remarkably, the marginal zone is the only microanatomical
environment in which two phenotypically and functionally different macrophage populations
coexist. Both populations of macrophages are responsible for the clearance of blood-borne
encapsulated bacteria, such as meningococci [47], Campylobacter jejuni [48] or Streptococus
pneumoniae [49]. They have also been shown to phagocytose parasites, like Leishmania
donovani [50]. Copious speculations about their separate functions were made in the past, still
being a controversial topic. Conditional depletion of MMM or MZM via diphtheria toxin
receptor, using Cd169DTR and Cd11cDTR transgenic mice, showed no conclusive results on
their selectivity of splenic macrophage depletion [51]. Another caveat in the study of these
populations is the difficulty to isolate them and the lack of mouse models deficient
specifically on one of them. The isolation of macrophages of the marginal zone still remains a
challenge due to their small frequency in the spleen, their close contact with endothelial and
stromal cells and the particular properties of their surface markers. MMMs and MZMs are
defined by the high expression of the lectins CD169, Sialoadhesin, and SIGNR1 respectively.
These lectins get rapidly internalized by the macrophage during sample preparation for flow
cytometry or sorting techniques, which hinders the application of high throughput techniques
to define their transcriptomic profile. Nevertheless, different functions have been proposed for
these two macrophage populations:
Their high expression of CD169, Sialoadhesin, similar to the subcapsular sinus macrophages
in the lymph nodes suggest analogous functions, however the different disposition of both
populations in the organs and the particular anatomy and environmental cues of the spleen
confers them unique features.
MMMs have been selectively implicated in the degradation and clearance of viruses, such as
porcine reproductive and respiratory syndrome virus [52]. An elegant study from den Haan
and colleagues showed that CD169+ MMMs specifically induced T cell responses. Using
conjugated OVA-antibodies to target different antigen presenting cells in the spleen, the
authors demonstrated that MMM can specifically take up antigens, transfer them to CD8+
dendritic cells, ultimately activating T cells [53], showing their potential as antigen presenting
cells and their direct implication in the generation of the adaptive immune response.
Besides their immunological functions on the recognition of blood-borne pathogens and
antigens, processes dictated by their surrounding microenvironment, MMMs also perform
trophic functions by actively interacting with their neighboring cells. Follicular B cells are
essential to the maintenance of MMMs through the release of LT [54]. In addition,
follicular B cells have been shown to migrate towards the marginal zone, in response to
oxysterols, suggesting the idea that MMMs are producing those oxysterols [55]. Together
with the fact that LXR, a transcription factor activated by oxysterols, drives the
differentiation of MMMs, this would potentially contribute to understand how metabolic
pathways actively influence the differentiation of macrophages in the marginal zone [24].
The close association of MMMs with the MadCAM1+ endothelial sinus lining cells suggests
a cooperative role for these macrophages in the organizing functions of the sinus lining cells
in the maintenance of the splenic structure. This was in principle supported by evidences of
mouse models lacking MMM, which also showed disrupted splenic compartmentalization,
with disorganized B cell follicles [56]. However, we showed in LXR-/- mice, where there is
total absence of cd169+ MMM, no apparent affection of sinus lining cells and a proper
organization of the B and T cell areas [24], ruling out an organizational function for these
macrophages.
3.3.2. Marginal zone macrophages
The immunological role of MZMs is highly determined by the nature of the antigens that they
phagocyte from the blood stream and their close interaction with MZ-B cells. These
specialized B cells recognize blood-borne antigens and migrate to the follicles in the white
pulps to present them to FDCs, which ultimately generate the germinal center reaction. SIGN-
R1 expressed by the MZMs has revealed as a key molecule in the interaction between MZ-B
cells and MZMs. In the absence of MZ-B cells there is a downregulation of SIGN-R1 in
MZMs [57] and, reciprocally, when SIGN-R1 is not present, the migration of MZ-B cells to
the follicles is impaired, therefore, altering their interaction with FDCs and germinal center
reaction [24, 58]. Moreover, the scavenger receptor MARCO, which is also highly expressed
by MZMs, had been previously shown to interact with B cells promoting their maintenance
and correct positioning in the marginal zone [59]. This crosstalk between the MZMs and MZ-
B cells is crucial to ensure the correct immune responses against T cell independent antigens,
contributing to maintain central tolerance. Furthermore, it is crucial to understand MZM
intrinsic plasticity in response to environmental cues. Using the LXR-/- model, we observed
that in the absence of MZMs clearance of blood borne pathogens was taken over by RPMs,
underlying the plasticity of those macrophages. However, these mice exhibited a blunted
immune response, with a decreased generation of specific antibodies IgM antibodies, against
T cell independent antigens, suggesting that physical communication with MZ-B cells is still
needed to generate the immune response. These results suggest that, although splenic
macrophages possess the ability of reprogramming some of their functions, the interplay with
the environment is crucial to determine the specific functions of the different macrophage
subsets.
MZMs are also implicated in central tolerance through phagocytosis of blood-borne apoptotic
cells. Several studies showed that intravenously injected apoptotic cells were rapidly
phagocytosed by MZMs [60, 61]. This prompted the suppression of an immune response
against dying cell associated antigens, leading to the maintenance of immune tolerance.
Interestingly, the interaction of LTαβ expressed by MZ B cells and LTβR expressed by
MZMs, was shown to be important for efficient engulfing of circulating apoptotic cells by
MZMS in lupus disease [33]. Remarkably, these studies underlie the importance of MZMs in
the control against developing autoimmune diseases, in a similar fashion as of TBMs. In both
cases, the molecules implicated in this process are not fully identified; however the different
origin of the cells that they phagocytose may lead to different transcriptional program on each
macrophage population, raising the heterogeneous properties of splenic macrophages.
Supporting this theory, in a recent report, we showed that different environments contribute to
increase tissue-resident macrophage heterogeneity through the phagocytosis of unwanted
circulating cells [11].
Research in Antonio Castrillo´s lab is supported by grants from Spanish Ministerio de Ciencia
y Tecnología [SAF2008-00057], Ministerio de Economia y Cometitividad [SAF2011-29244,
SAF2014-56819-R, SAF2015-71878-REDT] and Comunidad de Madrid I+D [Grant
S2010/BMD-2350 Raphyme-CM and B2017/BMD-3680 Chronobite-CM].
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HIGHLIGHTS
The Spleen is the largest secondary lymphoid organ in the body and the largest filter of the
blood.
The Spleen is crucial for the generation of immune responses to blood-borne antigens and for
the clearance of circulating unwanted material.
At least four different macrophage subsets populate the distinct microanatomical splenic
compartments under steady-state conditions.
Macrophage position and function in their particular splenic microdomains confer them
unique phenotypes that are crucial for the defense against blood borne pathogens, clearance of
apoptotic cells and iron metabolism.
Discrete number of transcription factors, including Irf8, Spic and Nr1h3 control the
differentiation of red pulp macrophages and marginal zone macrophages.